Individual
VANESSA GAREN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4700 POINT FOSDICK DR NW STE 319, GIG HARBOR, WA 98335-1731
(253) 853-3888
(253) 853-7393
Mailing address
4700 POINT FOSDICK DR NW STE 319, GIG HARBOR, WA 98335-1731
(253) 853-3888
(253) 853-7393
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30007826
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025904
L&I KRMC GROUP NUMBER
WA
05
—
1861652042
—
WA
Enumeration date
06/11/2008
Last updated
04/27/2017
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